22D2016294 CLIA NUMBER - BAY COVE HUMAN SERVICES

Home > CLIA Lookup > 22D2016294

Laboratory Demographics

CLIA Number: 22D2016294

Facility Name: BAY COVE HUMAN SERVICES

Facility Address:
66 CANAL ST
BOSTON, MA
ZIP 02114
Get Directions

Facility Phone Number: 617 371-3093

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1639395007

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	22D2016294
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	BAY COVE HUMAN SERVICES
Street	66 CANAL ST
City	BOSTON
State	MA
ZIP	02114
Phone	617 371-3093
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024